Kuonekwa kweguruva hazvirevi nguva dzose kushanda. Mune zvimwe zviitiko, zvakakwana kuita mufambiro wakakodzera wemishonga. Mhando yehutano yakasarudzwa ne gastroenterologist uye chirembareji, zvichienderana nemhando yematombo akawanikwa mumurwere uye paanowanikwa munzvimbo.
Kurapa zvinodhaka zveganda
Kana munhu ane majozi e-cholesterol mumuronda, kurapwa kunogona kungoshandiswa chete. Izvo zvinoitwa nekubatsirwa kwezvinodhaka ursodeoxycholic kana chenodeoxycholic acid. Mishonga yakadaro inosanganisira mapiritsi:
- Ursofalk ;
- Henosan;
- Ursosan;
- Genohol;
- Henofalk.
Nekubatsira kwavo, unogona kudzorera chiyero chinowanzo che bile acid uye cholesterol. Muchiitiko ichi, cholesterol yakawandisa inoshandurwa kuva fomu yakasanganiswa, iyo inononoka, uye dzimwe nguva inomisa zvachose nzira yekuumbwa kwematombo. Munguva yekurapa nemishonga yakadai, iwe haufaniri kurega kushandiswa kwemishonga yakasiyana-siyana inokurudzira maumbirwo emabwe (somuenzaniso, estrogen dzinoumba zvirongwa zvakasiyana-siyana zvekudzivirira pamuviri).
Kurapa kwemishonga yematombo ehuturi muhutori inogona kuitwa chete kana mabwe asina kuzadza zvinopfuura hafu yechipfu, uye iyo ducts ine unhu hwakanaka. Nzira yekurapa kwakadaro inosvika kumwedzi makumi maviri nemana, uye kubudirira kwayo kunoongororwa kanenge kaviri pagore ne ultrasound.
Kuchengetedza mabwe mujinga ne ultrasound kana laser
Kana kuyerwa kwematombo ari muhuro yehuro kunopfuura kudarika 3 cm, kurapa kunogona kuitwa ne laser kana ultrasound. Dana remishonga yakadaro iri kure kurema-cholesterol, calcareous, pigmentary kana kuti mitsetse yakasanganiswa inopwanyika muzvidimbu zviduku (inenge inenge 1-2 mm). Ivo vakadzingwa kubva mumuviri pamwe chete nemasese. Iyi nzira inoratidzwa chete kune varwere vane chikwata chinokwana chenduru. Unogona kutakura kana nhamba yematombo asingadariki zvitatu.
Kurapa mabwe mujinga ne ultrasound kana kuti laser inoratidzika kusuruvara. Izvo zvakanaka zvinoregererwa nevarwere vezera rakasiyana uye zvinogona kuitika kunyange pane kunze kwepakati. Sezvo mutemo, nguva yacho ndeye 30-60 maminitsi.
Kubviswa kwematombo
Kana mabwe acho ari makuru kana kuti mishonga yemakemikari haana maturo, kushanda kunoitwa - cholecystectomy yakazaruka kana laparoscopic cholecystectomy. Pakati pekuvhurwa kwechilecystectomy, kuchekwa kwemuviri wemimba kunogadzirwa, chiremba anovhiya anoongorora, anobvisa nduru, mvura (kana zvichidikanwa) uye sutures ronda. Kana zvidimbu (plastiki tubes) zvakagadzirirwa kuti ropa ribude, maronda exudate uye mvura yehupenyu, saka mushure memazuva mashomanana, anofanira kubviswa. Izvi zvinoitwawo nechiremba.
Chirwere cheparoscopic cholecystectomy inoshandiswa kubvisa nduru , iyo inogadzirwa nekubatsira kwemajeri endoscopic uye laparoscopes (a special tube ine lens system, vhidhiyo kamera uye tambo yakanyatsogadziridzwa nemwenje we xenon kana imwe nzvimbo inotonhora "chiedza"). Iyi nzira inobatsira zvakawanda pamusoro pezvakawanda. Icho chinotyisa zvikuru, sezvo chisina kuitwa
Kurapa kwematombo makuru kana akawanda madiki mumuronda nemararamiro e laparoscopic cholecystectomy inopesana chete apo:
- pamuviri (3rd trimester);
- zvirwere zvakakomba zvemuviri;
- zvakajeka matomical mamiriro ezvinhu.